J Korean Acad Nurs.  2018 Jun;48(3):362-374. 10.4040/jkan.2018.48.3.362.

Development of a Triage Competency Scale for Emergency Nurses

• Moon SH
• Park YH

• KMID: 2429111
• DOI: http://doi.org/10.4040/jkan.2018.48.3.362

Abstract

PURPOSE
This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability.
METHODS
Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale. Data analysis comprised item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity, including criterion-related validity of the problem solving method using video scenarios.
RESULTS
The item analysis and confirmatory factor analysis yielded 5 factors with 30 items; the fit index of the derived model was good (χ2/df =2.46, Root Mean squared Residual=.04, Root Mean Squared Error of Approximation=.08). Additionally, contrasted group validity was assessed. Participants were classified as novice, advanced beginner, competent, and proficient, and significant differences were observed in the mean score for each group (F=6.02, p=.001). With reference to criterion-related validity, there was a positive correlation between scores on the TCS and the Clinical Decision Making in Nursing Scale (r=.48, p < .001). Further, the total score on the problem solving method using video scenarios was positively correlated with the TCS score (r=.13, p=.04). The Cronbach's α of the final model was .91.
CONCLUSION
Our TCS is useful for the objective assessment of triage competency among emergency nurses and the evaluation of triage education programs.

Keyword

Emergency Nursing; Triage; Clinical Competence; Factor Analysis

MeSH Terms

Clinical Competence
Clinical Decision-Making
Education
Emergencies*
Emergency Nursing
Emergency Service, Hospital
Factor Analysis, Statistical
Methods
Nursing
Problem Solving
Reproducibility of Results
Statistics as Topic
Triage*

Figure

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  Figure 1. Flow chart for this study.

Reference

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